← Hurd, Jeff

Statement of Dissolution — Po Slovensky Holdings, LLC, ID 20081128042 (2024)

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DISS_LLC Page 1 of 2 Rev. 4/02/2012 Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.coloradosos.gov. ABOVE SPACE FOR OFFICE USE ONLY Statement of Dissolution Limited Liability Company Filed pursuant to §7-80-802 of the Colorado Revised Statutes (C.R.S) ID number: _____________________ 1. Entity name: ______________________________________________________ 2. Principal office address: Street address ______________________________________________________ (Street number and name) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (ZIP/Postal Code) _______________________ ______________ (Province – if applicable) (Country) Mailing address ______________________________________________________ (leave blank if same as above) (Street number and name or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (ZIP/Postal Code) _______________________ ______________. (Province – if applicable) (Country) 3. (Optional) Delayed effective date: ______________________ (mm/dd/yyyy) 4. This document contains additional information as provided by law. Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. Po Slovensky Holdings, LLC 20081128042 2185 Piazza Way United States Grand Junction CO 81506 Colorado Secretary of State ID#: 20081128042 Document #: 20248236071 Filed on: 11/23/2024 12:42:41 PM Paid: $10.00
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DISS_LLC Page 2 of 2 Rev. 4/02/2012 5. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s attorney. HURD United States JEFFREY S 2185 PIAZZA WAY Grand Junction CO 81506 CO